Professional Records
License Records
Shanta P Gautam
Address:
2500 Springdale Blvd, Lake Worth, FL
Phone:
(561) 357-4749
License #:
224124 - Expired
Category:
Health Care
Issued Date:
Aug 18, 2010
Effective Date:
Jan 14, 2014
Expiration Date:
Dec 31, 2011
Type:
Certified Nursing Assistant